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1720120355 NPI number — JENNIFER CLAIRE PERMANN PA-C

NPI Number: 1720120355
Health Care Provider/Practitioner: JENNIFER CLAIRE PERMANN PA-C

Information about “1720120355” NPI (JENNIFER CLAIRE PERMANN PA-C) exists in 1720120355 in HTML format HTML  |  1720120355 in plain Text format TXT  |  1720120355 in PDF (Portable Document Format) PDF  |  1720120355 in an XML format XML  formats.

NPI Number : 1720120355 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720120355",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PERMANN",
    "FirstName": "JENNIFER",
    "MiddleName": "CLAIRE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1105 N M ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TACOMA",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98403-1524",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "253-404-1486",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "314 MARTIN LUTHER KING JR WAY",
    "SecondLinePracticeLocationAddress": "SUITE 400",
    "PracticeLocationAddressCityName": "TACOMA",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98405-4250",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "253-627-0666",
    "PracticeLocationAddressFaxNumber": "253-627-2879",
    "EnumerationDate": "02/12/2007",
    "LastUpdateDate": "04/21/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363AM0700X",
          "TaxonomyName": "Medical Physician Assistant",
          "LicenseNumber": "PA10003477",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207V00000X",
          "TaxonomyName": "Obstetrics & Gynecology Physician",
          "LicenseNumber": "PA10003477",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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